Pseudomonas aeruginosa is an extracellular opportunistic bacterial pathogen commonly associated with infectious complications in susceptible individuals, such as those with underlying diseases including HIV/
AIDS and
cystic fibrosis. Antibiotic resistance in multiple strains of P. aeruginosa is a rapidly developing clinical problem. We have previously demonstrated that the
oxygen levels at the site of P. aeruginosa
infection can strongly influence virulence and antibiotic resistance in this pathogen, although the
oxygen-sensing and -signaling mechanisms underpinning this response have remained unknown. In this study, we investigated the potential role of the putative
oxygen sensor Pseudomonas
prolyl hydroxylase (
PPHD) in the control of virulence and antibiotic resistance in P. aeruginosa We found that a P. aeruginosa strain lacking
PPHD (PAO310) exhibits increased virulence associated with increased bacterial motility. Furthermore,
PPHD-deficient P. aeruginosa displayed enhanced antibiotic resistance against
tetracycline through increased expression of the
xenobiotic transporters mexEF-oprN and MexXY. Of note, the effect of the
PPHD knockout on antibiotic resistance was phenocopied in bacteria exposed to atmospheric
hypoxia. We conclude that
PPHD is a putative bacterial
oxygen sensor that may link microenvironmental
oxygen levels to virulence and antibiotic resistance in P. aeruginosa.